JACK SHAPIRO MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125082229

License Status

CANCELLED

Business

Title

First Name

JACK

Last Name

SHAPIRO

Business Name

JACK SHAPIRO MD

Original Issue Date

06/21/2023

Effective Date

06/21/2023

Expiration Date

06/20/2026

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/10/2025